An IV is infusing at 20 gtt/min. The drop factor is 15 gtt/mL. In 6 hours, the client will have received _______________
a. 480 mL
b. 500 mL
c. 360 mL
d. 400 mL
ANS: A
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One of the nurse technicians is showing symptoms of latex sensitivity. Which of the following is the best action by the nurse?
1. Send the nurse technician to a department that does not use latex products. 2. Contact the employee health department in the facility and obtain latex-free products for the nurse technician. 3. Wait until Monday to report the problem to the supervisor of the unit. 4. Assign the nurse technician non–client care duties.
A laboring patient in the latent phase is experiencing uncoordinated, irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?
a. "You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger." b. "You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain." c. "Let me take off the monitor belts and help you get into a more comfortable position." d. "I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."
The parents of a toddler are concerned that their child is so messy during eating, so they feed him instead of allowing him to feed himself. What should the nurse respond to the parents?
1. "That's probably best. I'm sure it makes your mealtime more pleasant." 2. "At least you're sharing meals as a family. That's the most important." 3. "Motor skills keep improving with age. Try not to get frustrated with the mess." 4. "Your child will never learn if you don't let him experience."
Which major symptom indicates to the nurse that patient diagnosed with sickle cell anemia is ex-periencing a vasoocclusive crisis?
a. Peripheral edema b. Pain c. Petechiae d. An enlarged spleen